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R 385
Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2019DoctorsPart III : Procedures14. Nervous System |
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Specialist |
General Practitioner |
Anaesthetic |
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U/E |
R |
U/E |
R |
U/E |
R T/M |
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14.1 |
Diagnostic procedures |
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2709 |
Full spinogram Including bilateral median and posterior-tibial studies |
140 |
3 565.80 |
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2711 |
Electro-encephalography: Taking of record |
36.10 |
919.47 |
36.10 |
919.47 |
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2712 |
Electro-encephalagraplry - Interpretation |
24 |
611.28 |
24 |
611.28 |
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2713 |
Spinal (lumbar) puncture. For diagnosis, tar drainage of spinal fluid or for therapeutic indications |
18.4 |
468.65 |
18.4 |
468.65 |
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2714 |
Cistenal puncture and/or intrathecal injections |
15 |
382.05 |
15 |
382.05 |
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2717 |
Electromyography: First |
75 |
1 910.25 |
75 |
1 910.25 |
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2718 |
Electromyography: Subsequent |
75 |
1 910.25 |
75 |
1 910.25 |
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2725 |
Angiograply carotis: Unilateral |
25 |
636.75 |
25 |
636.75 |
4 |
476.08 +T |
2726 |
Angiography carotis: Bilateral |
44 |
1 120.68 |
44 |
1 120.68 |
4 |
476.08 +T |
2727 |
Vertebral artery: Direct needling |
50 |
1 273.50 |
50 |
1 273.50 |
4 |
476.08 +T |
2729 |
Vertebral catheterisation |
50 |
1 273.50 |
50 |
1 273.50 |
4 |
476.08 +T |
2731 |
Air encephalography and posterior fossa tomography: Injection of air (independent procedure) |
14.5 |
369.32 |
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4 |
476.08 +T |
2737 |
Air encephalography and posterior fossa tomography: Visual field charting on Bjerrum Screen |
7 |
178.29 |
7 |
178.29 |
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2739 |
Ventricular needling without burring: Tapping only |
16 |
407.62 |
16 |
407.62 |
4 |
476.08 +T |
2741 |
Ventricular needling without burring: Plus introduction of air and/or contrast dye for ventriculography |
43 |
1 095.21 |
43 |
1 095.21 |
4 |
476.08 +T |
2743 |
Subdural tapping: First sitting |
15 |
382.05 |
15 |
382.05 |
4 |
476.08 +T |
2745 |
Subdural tapping: Subsequent |
10 |
254.70 |
10 |
254.70 |
4 |
476.08 +T |
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14.2 |
Introduction of burr holes for |
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2747 |
Ventriculography |
150 |
3 820.50 |
120 |
3 056.40 |
8 |
952.16 +T |
2749 |
Catheterisation for ventriculography and/or drainage |
150 |
3 820.50 |
120 |
3 056.40 |
8 |
952.16 +T |
2753 |
Subdural haematoma |
150 |
3 820.50 |
120 |
3 056.40 |
8 |
952.16 +T |
2755 |
Subdural empyema |
150 |
3 820.50 |
120 |
3 056.40 |
8 |
952.16 +T |
2757 |
Brain abscess |
150 |
3 820.50 |
120 |
3 056.40 |
8 |
952.16 +T |
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3 820.50 |
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14.3 |
Nerve procedures |
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2765 |
Nerve conduction studies (seeitems 0733 and 3285) |
26 |
662.22 |
26 |
662.22 |
4 |
476.08 +T |
14.3.1 |
Nerve repair of suture |
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2767 |
Suture Brachial Plexos (see also gems 2837 and 2839) |
300 |
7 641.00 |
240 |
6 112.80 |
6 |
714.12 +T |
2769 |
Suture: Large nerve: Primary |
134 |
3 412.98 |
120 |
3 056.40 |
5 |
595.10 +T |
2771 |
Suture: Large nerve: Secondary |
202 |
5 144.94 |
161.60 |
4 115.95 |
5 |
595.10 +T |
2773 |
Suture: Digital nerve: Primary |
65 |
1 655.55 |
65 |
1 655.55 |
3 |
357.06 +T |
2775 |
Suture: Digital nerve: Secondary |
96 |
2 445.12 |
96 |
2 445.12 |
3 |
357.06 +T |
2777 |
Nerve graft: Simple |
202 |
5 144.94 |
161.6 |
4 115.95 |
4 |
476.08 +T |
2779 |
Fascicular: First fasciculus |
202 |
5 144.94 |
161.6 |
4 115.95 |
4 |
476.08 +T |
2781 |
Fascicular: Each additional fasciculus |
50 |
1 273.50 |
50 |
1 273.50 |
4 |
476.08 +T |
2783 |
Fascicular: Nerve flap: To include all stages |
224 |
5 705.26 |
179.2 |
4 554.22 |
4 |
476.08+T |
2787 |
Fascicular: Grafting of facial nerve |
215 |
5 476.05 |
172 |
4 380.84 |
5 |
595.10 +T |
14.3.2 |
Neurectomy |
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2795 |
Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, lumbar spine/sacral, one level (unilateral or bilateral) |
45.4 |
1 156.34 |
45.4 |
1 156.34 |
5 |
595.10 +T |
2796 |
Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, lumbar spine/sacral, each additional level each additional level (unilateral or bilateral) |
+ 16.3 |
415.16 |
16.3 |
415.16 |
5 |
595.10 +T |
2797 |
Procedures for pain relef: Paravertebral facet joint nerve: Destruction by neurolytic agent, cervica/thoracic, one level (unilateral or bilateral) |
44 |
1 120.68 |
44 |
1 120.68 |
5 |
595.10 +T |
2798 |
Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, cervica//thoracic, each additional level (unilateral or bilateral) |
+ 15 |
382.05 |
15 |
382.05 |
5 |
595.10 +T |
2799 |
Intrathecal injections for pain |
36 |
916.92 |
36 |
916.92 |
4 |
476.08 +T |
2800 |
Plexus nerve block - as part of treatment refer to annexure C on the back of this gazette (motivation to be supplied by treating doctor) |
36 |
916.92 |
36 |
916.92 |
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Fees as for specialist |
2801 |
Epidural injection, plexus nerve block or peripheral nerve block for pain refer to annexure C on the back of this gazette, motivation to be supplied by treating doctor (see modifier 0045 for post-operative pain relief) (refer to modifier 0021 for epidural anaesthetic) |
36 |
916.92 |
36 |
916.92 |
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Fees as for specialist |
2802 |
Peripheral nerve block - as part of treatment (motivation to be supplied) |
25 |
636.75 |
25 |
636.75 |
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Fees as for specialist |
2803 |
Alcohol injection in peripheral nerves for pain: Unilateral |
20 |
509.40 |
20 |
509.40 |
3 |
357.06 +T |
2804 |
Inserting an indwelling nerve catheter (includes removal of catheter) (not for bolus technique) To be used only with items 2799, 2800, 2801 or 2802 |
+ 10 |
254.70 |
10 |
254.70 |
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Fees as for specialist |
2805 |
Alcohol injection in peripheral nerves for pain: Bilateral |
35 |
891.45 |
35 |
891.45 |
3 |
357.06 +T |
2809 |
Peripheral nerve section for pain |
45 |
1 146.15 |
45 |
1 146.15 |
3 |
357.06 +T |
2815 |
Excision interdigital neuroma - Morton |
82.3 |
2 096.18 |
82.3 |
2 096.18 |
3 |
357.06 +T |
2825 |
Excision: Neuroma: Peripheral |
109.5 |
2 788.97 |
109.5 |
2 788.97 |
3 |
357.06 +T |
14.3.3 |
Other nerve procedures |
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2827 |
Transposition of ulnar nerve |
100 |
2 547.00 |
100 |
2 547.00 |
3 |
357.06 +T |
2829 |
Neuroysis: Minor |
51 |
1 298.97 |
51 |
1 298.97 |
3 |
357.06 +T |
2831 |
Neurolysis: Major |
132 |
3 362.04 |
120 |
3 056.40 |
3 |
357.06 +T |
2833 |
Neuroysls: Digital |
96 |
2 445.12 |
96 |
2 445.12 |
3 |
357.06 +T |
2835 |
Scalenotomy |
132 |
3 362.04 |
120 |
3 056.40 |
6 |
714.12 +T |
2837 |
Brachial plexus, suture or neuroysis (item 2767) |
300 |
7 641.00 |
240 |
6 112.80 |
6 |
714.12 +T |
2839 |
Total brachial plexus exposure with graft, neuroysis and transplantation |
895.2 |
22 800.74 |
716.16 |
18 240.60 |
6 |
714.12 +T |
2841 |
Carpal Tunnel |
64 |
1 630.08 |
64 |
1 630.08 |
3 |
357.06 +T |
2843 |
Lumbar sympathectomy: Unilateral |
153 |
3 896.91 |
122.4 |
3 117.53 |
4 |
476.08 +T |
2845 |
Lurnbarsympathectomy: Bilateral |
268 |
6 825.96 |
214.4 |
5 460.77 |
6 |
714.12 +T |
2849 |
Sympathetic block Other levels: Unilateral |
20 |
509.40 |
20 |
509.40 |
3 |
357.06 +T |
2851 |
Sympathetic block: Other levels: Bilateral |
35 |
891.45 |
35 |
891.45 |
3 |
357.06 +T |
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14.4 |
Skull procedures |
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2859 |
Repair of depressed fracture of skull: Without brain laceration: Major |
200 |
5 094.00 |
160 |
4 075.20 |
8 |
952.16 +T |
2860 |
Repair of depressed fracture of skull: Without brain laceration: Small |
170 |
4 329.90 |
136 |
3 463.92 |
8 |
952.16 +T |
2861 |
Repair of depressed fracture of skull: With brain lacerations: Small |
200 |
5 094.00 |
160 |
4 075.20 |
8 |
952.16 +T |
2862 |
Repair of depressed fracture of skull: With brain lacerations: Major |
375 |
9 551.25 |
300 |
7 641.00 |
8 |
952.16 +T |
2863 |
Cranioptasty |
280 |
7 131.60 |
224 |
5 705.28 |
8 |
952.16 +T |
2875 |
Theco-peritorteal C.S.F. shunt |
280 |
7 131.60 |
224 |
5 705.28 |
8 |
952.16 +T |
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14.6 |
Aneurysm repair |
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2876 |
Repair of aneurysm or arterlor-venous anomalies (intracranial) |
700 |
17 829.00 |
560 |
14 263.20 |
15 |
1 785.30 +T |
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14.7 |
Posterior fossa surgery |
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2879 |
Glosso-pharyngeal nerve |
480 |
12 225.60 |
384 |
9 780.48 |
6 |
714.12 +T |
2881 |
Eighth nerve: Intracranial |
480 |
12 225.60 |
384 |
9 780.48 |
8 |
952.16 +T |
2887 |
Eighth nerve: Vestibular nerve |
480 |
12 225.60 |
384 |
9 780.48 |
9 |
1 071.18 +T |
14.7.1 |
Supratentorial procedures |
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2899 |
Cranjectomy for extra-dural haematoma or empyema |
375 |
9 551.25 |
300 |
7 641.00 |
11 |
1 309.22 +T |
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14.8 |
Craniotomy for |
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2900 |
Extra-dural orbital decompression |
700 |
17 829.00 |
560 |
14 263.20 |
11 |
1 309.22 +T |
2903 |
Abscess, glloma |
450 |
11 461.50 |
360 |
9 1 69.20 |
11 |
1 309.22 +T |
2904 |
Haematoma, foreign body: Cerebral or cerebellar |
450 |
11 461.50 |
360 |
9 169.20 |
11 |
1 309.22 +T |
2905 |
Focal epilepsy: Excision of cortical scar |
450 |
11 461.50 |
360 |
9 169.20 |
11 |
1 309.22 +T |
2906 |
With anterior fossa meningocele and repair of bony skull defect |
375 |
9 551.25 |
300 |
7 641.00 |
11 |
1 309.22 +T |
2909 |
CSF-leaks |
450 |
11 461.50 |
360 |
9 169.20 |
11 |
1 309.22 +T |
14.8.1 |
Stereo-tactic cerebral and spinal cord procedures |
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2918 |
(code moved to consultation section) |
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14.9 |
Spinal operations |
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2923 |
Chordotomy: Unilateral |
178 |
4 533.66 |
142.4 |
3 626.93 |
3 |
357.06 +T+M |
2925 |
Chordotomy: Open |
350 |
8 914.60 |
280 |
7 131.60 |
3 |
357.06 +T+M |
2927 |
Rhizotomy: Extradural, but intraspinal |
320 |
8 150.40 |
256 |
6 520.32 |
3 |
357.06 +T+M |
2928 |
Rhizotomy: Intradural |
350 |
8 914.60 |
280 |
7 131.60 |
3 |
357.06 +T+M |
2940 |
Lumbar osteophyte removal |
187 |
4 762.89 |
149.6 |
3 810.31 |
3 |
357.06 +T+M |
2941 |
Cervical or thoracic osteophyte removal |
285 |
7 258.95 |
228 |
5 807.16 |
3 |
357.06 +T+M |
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14.10 |
Arterial ligations |
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2951 |
Carotis: Trauma |
120 |
3 056.40 |
120 |
3 056.40 |
8 |
952.16 +T |
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14.11 |
Medical Psychotherapy |
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2957 |
Indvidual psychotherapy (specific psychotherapy with approved evidence based method) - per short session (20 minutes) |
20 |
509.40 |
16 |
407.52 |
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2974 |
Individual psychotherapy (specific psychotherapy with approved evidence based method) - per intermediate session (40 minutes) |
40 |
1 018.80 |
32 |
815.04 |
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2975 |
Individual psychotherapy (specific psychotherapy with approved evidence based method) - per extended session (60 minutes or longer) |
60 |
1 528.20 |
48 |
1 222.56 |
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2958 |
DELETED 2009: Psychoanalytic therapy - per 60 minute session |
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14.12 |
Physical treatment methods |
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2970 |
Electro-convulsive treatment (ECT) - each time (see rule (Va) |
17 |
432.99 |
17 |
432.99 |
3 |
357.06 +T |
2971 |
Intravenous anti-depressive medication through infusion - per push in (maximum 1 push in per 24 hours) |
6 |
152.82 |
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14.13 |
Psychiatric examination methods |
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2972 |
Narco-analysis (maximum of 3 sessions per treatment) - per session |
24 |
611.28 |
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2973 |
Psychometry by Psychiatrist (specify examination) - per session (maximum of 3 sessions per examination) |
24 |
611.28 |
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